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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).

Additional documents

Overview

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.

Escalation form

How to…

Access refresher training for using your lone worker device

Contact Reliance Protect on –  Training@reliancehightech.co.uk – with your name, email address and device serial number

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 be notified 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

Changes associated 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/accessory for 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:

A list of current FFP3 mask fitters as of 3rd December 2020 is available here (only accessible to staff on NHS network).

Checking for an FFP3 fit test record

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.

The following document gives an overview of the masks that have been issued by procurement during this period for face fit testing against:

FFP3 Mask Model Overview – updated 20th May 2020

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

Fit Test Rec
  • At the point of fit test, the fit tester will complete an eForm. **You will need the persons Payroll, eESS or NI Number to use this form**
  • Guidance for completing the eForm.
  • 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

Powered Air-Purifying Respirators (PAPR)

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.

Additional Documentation

8000 PAPR
Infection Prevention and Control
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.

Additional Information

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?

FollowIt App

If you are a woman aged 18 years or above, the Scottish Women’s Rights Centre have developed the following app: ‘FollowItApp’.

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:

Specialist support and advice

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.

  • Report online to Police Scotland
  • 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

Additional Information

Moving and Handling Education

All Moving and Handling training courses are available for booking on eEES.

Use link to access course information and dates NHSGGC Moving & Handling

Return To Work Assessment

Line Manager request form for manual handling assessment of a staff member returning to work following a period of absence.

Return to work referral form

Clinical Handling Competency Assessment

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.

An overview of the approach and how it relates to the Acute Services and for Partnerships is provided.

Clinical Handling Competency Assessment Documentation

Inanimate Load Handling Competency Assessment

Inanimate Load Handling Competency Assessment within NHSGGC

Competency assessments for staff that regularly move and handle inanimate loads as part of work tasks.

Competency Assessment Documentation

Competency Assessors online recording link (for staff that cannot input directly into eESS)

Bariatric Guidance and Equipment

Guidance

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.

User guides for the bariatric and low level beds on the contract

User guides for the bariatric mattresses for use with Citadel or Baros bed

Rental Information for other bariatric equipment e.g chairs

Please forward request to procurement for purchase order number prior to contacting company.

Equipment

Hoist service and LOLER inspection schedules

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.

Equipment Information

A checklist for using hoists.

Bedrails

Floor Recovery

Videos

PECOS Ordering – Slings and Sliding Sheets

Hoist Slings

Sliding Sheets

Guidance Documents and Links

Health and Safety Executive (HSE)

NHS Scotland

Professional Bodies

NHSGGC Policy Documentation

NHSGGC Guidance Documentation 

Therapy Handling Guidelines

Assisting with:

Safety Briefing Notes – NHSGGC 

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.

Course Handouts – NHSGGC

Moving and Handling Overview Video

Risk Assessment

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.

Blank moving and handling risk assessment forms are available from the Health & Safety Policies, Guidance Documents and Forms pages.

Musculoskeletal Disorder Guidance

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:

Information relating to treating minor musculoskeletal conditions can be found at www.nhsinform.co.uk/injuries/muscle-bone.

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.

Further Information

Violence Reduction Service (Health & Safety) (sharepoint.com)

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.  

For further information or assistance with booking staff onto training please email WIG-movhan736@ggc.scot.nhs.uk  

Information for delegates

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.

Records

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.

For any further information email the Moving and Handling inbox WIG-movhan736@ggc.scot.nhs.uk

Health and safety is concerned with the safety, health and welfare of people engaged in work or employment and others who might be affected by the workplace environment. Policy and guidance documents for a broad range of health &and safety topics are provided via the links below.

The Health and Safety Department have developed a number of Toolbox Talks/Notes on a range of topics. These are key safety messages that are intended to be communicated by local managers to their staff (where appropriate) and recorded on the record form provided. The Toolbox Talks/Notes can be accessed below.

A
Icon showing the letter A
Alerts

In NHSGGC, there are a number of alerts that are distributed around the organisation by the Health and Safety department.

Medical Devices Alerts (MDA)

MDAs were introduced in England on 1 January 2003, to replace the previous types of safety warnings (Hazard Notice, Safety Notice, Device Alert, Advice Notice, Safety Notices and Pacemaker Technical Notes).

Safety Action Notices (SAN)

SANs are notices that disseminate relevant NHS England Patient Safety Alerts relating to equipment. This is to ensure that the communication is being sent to the right people and that the communication is being actioned appropriately, and does not get confused with any other Scottish initiatives.

Estates and Facilities Alerts (EFA)

EFAs started in 2010; a new format safety warning dealing with Estates and Facilities equipment, and is issued in one of two priorities: Action (standard priority) and Immediate Action (top priority).

Field Safety Notices (FSN)

FSNs are alerts received directly from equipment manufacturers. 

Internal Safety Notices (ISN) and Risk Awareness Notices (RAN)

ISNs and RANs are generated from incidents that have occurred internally, and have been investigated by either the Health & Safety departments, or Risk Management department respectively.

Product Recalls (PR) and Customer Advice Notices (CAN)

PRs and CANs are alerts / recalls that have been issued from the National Procurement department of NHS Services Scotland.

Agency, Bank and Temporary Employees

There are occasions when you may require the services of an agency, bank or temporary employee. You must make them aware of any relevant health and safety arrangements within your area. Guidance is provided below and an example checklist which could be used to bring issues relative to your area to the attention of the employee at a brief induction. 

Alcohol and Substance

NHSGGC is committed to providing a safe and effective working environment and to promoting the health, safety and well-being of patients, visitors and employees. The Alcohol and Substance Policy is designed to ensure that employees are aware of the risks associated with alcohol and/or substance misuse and the consequences, including the legal consequences, of their actions. 

Asbestos

As Asbestos Policy and Management Plan falls within the remit of the Facilities Directorate, documentation relating to that topic is held on a different page which you can access here.

Please note, as this link is to an internal site, access will only be obtained if you are logged into an NHS networked computer. 

The guidance document below explains what asbestos is, what some of the more common uses in buildings are, and how NHSGGC manages it, along with what to do if you think you have been exposed.

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Contractors
Control of Substances Hazardous to Health (COSHH)

The Control Of Substances Hazardous to Health Regulations 2002 apply to a very wide range of substances and preparations mixtures of two or more substances – with the potential to cause harm if they are inhaled, ingested or come into contact with or are absorbed through the skin. These include individual chemical substances or preparations such as paints, cleaning materials, metals, pesticides, and insecticides. They can also be biological agents such as pathogens or cell cultures. Substances hazardous to health can occur in many forms, e.g. solids, liquids, vapours, gases, dusts, fibres, fumes, mist, and smoke.

The Chemical (Hazard Information and Packaging for Supply) Regulations 2002 (CHIP) was replaced by the GB CLP Regulation on 1 June 2015.Further details on CLP can be obtained by clicking here.

The Health and Safety Executive publish information on workplace exposure limits and definitions of different types of dusts, and other substances. The document is EH40/2005 Workplace exposure limits.

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Display Screen Equipment (DSE)
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Fire Safety

As Fire Safety falls within the remit of the Facilities Directorate, documentation relating to that topic is held on a different page which you can access here.

Please note, as this link is to an internal site, access will only be obtained if you are logged into an NHS networked computer. 

First Aiders at Work

First Aid Guidance

NHSGGC First Aider arrangements

Please note that registered medical and registered trained general nurses, midwives and health visitors can act as first aiders and therefore do not generally require to attend a first aid course.

Managers are encouraged to liaise with other services who they share locations with in order to ensure First Aid provision, particularly during periods of leave.

Nominations for first aid training should be made using the NHSGGC First Aider Nomination Form and sent to ggc.healthsafetyfirstaid@ggc.scot.nhs.uk. The nomination should be made by a budget holder authorised to pay for each place they require on a course and also, if applicable, the annual stipend.

Staff will be contacted regarding potential dates once a space on a course becomes available. On confirmation of availability to attend, course joining instructions will be provided.

For further information please refer to the First Aid Guidance Document.

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Incident (Accident) Management

The reporting of incidents forms part of the Risk Management Strategy. The Incident (Accident) Management page is a guide for staff on how to report incidents, including near misses and potential incidents. It covers all incidents, whether they involve patients, relatives, visitors, staff, contractors, volunteers or the general public.

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Lone Working

Lone Working Policy

We define lone workers as ‘Employees whose working activities can involve periods of time during their working day where they are without any kind of close or direct supervision or in contact with other colleagues’. The links below provides information regarding lone workers.

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Occupational Hygiene

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. Guidance is provided below as is the referral form for accessing the service.

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Personal Protective Equipment (PPE)

The Personal Protective Equipment at Work Regulations 1992 (as amended) sets out duties to employers to ensure that PPE is:

  • Supplied and used at work wherever there are risks to health and safety that cannot be adequately controlled in other ways
  • Properly assessed before use to ensure it is suitable
  • Maintained and stored properly
  • Provided with instructions on how to use it safely.

Where the use of PPE has been identified as an appropriate control measure through risk assessment, then it is the duty of staff to appropriately use the PPE as provided.

The checklist is taken from the Policy, and can be used during the selection process of PPE.

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Security

As Security falls within the remit of the Facilities Directorate, documentation relating to that topic is held on a different page which you can access here.

Please note, as this link is to an internal site, access will only be obtained if you are logged into an NHS networked computer. 

Sharps

Sharps are needles, blades (such as scalpels) and other medical instruments that are necessary for carrying out healthcare work and could cause an injury by cutting or pricking the skin.

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Specimen Transport & Disposal
Stalking

Stalking is a very serious and particularly insidious crime. Unlike other crimes which are, typically ‘one-off’ events, it can persist over time (anything from weeks, to months and even years).

In line with the Criminal Justice & Licensing (Scotland) Act 2010, Police Scotland define Stalking as:

“A (stalking) offence occurs when a person engages in a course of conduct on at least two separate occasions, which causes another person to feel fear or alarm, where the accused person intended, or knew or ought to have known, that their conduct would cause fear and alarm.”

Stress in the Workplace
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Toolbox Talks and Notes

Toolbox Talks are an integral component of how Local Managers communicate key safety messages to their staff. They can be used at handovers, staff meetings, huddles etc. They are developed in response to events that have occurred or identified hazards and will be added to overtime so you should check back to this page regularly.

The Record Form below should be used to record when your staff have had an opportunity to hear or read the contents of the relevant Health & Safety Toolbox Talk / Notes below. You should aim to present or distribute one Toolbox Talk / Note every few weeks, ensuring all are completed within a two yearly cycle.

Toolbox Talks/Notes

Policy related Toolbox Talks/Notes

Training & Education
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Violence Reduction (Health and Safety)
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Waste Management
Winter Safety

Issues such as inclement weather may present a risk to your health and safety. It is important to stay safe and keep up-to-date with the latest information available which can be found below.

Slips, trips and falls

Slips, trips and falls incidents are a common occurrence during the winter months, further information can be found . Below are some points to help minimise the risk;

Staff are reminded to be vigilant when walking between buildings, in car parks, or whilst out in the community during winter months – report any defects to grounds / lighting to estates (NHS premises) or to the local authority (community) and make colleagues aware. 

During periods of adverse weather staff should only undertake essential community visits / movements between sites.

It is also important that staff wear suitable footwear for the tasks they undertake and the prevailing the weather conditions. Additional personal protective equipment (PPE) can be worn when required, information can be found here.

Facilities management or caretaker staff will grit / maintain external areas of NHS premises. It is important to ensure each premises has a plan in place for this. Further advice for community based services / sites is available here.

A slips, trips & falls risk assessment should be in place for our community based services and premises, examples are provided – here (available only to those logged on to NHSGGC).

Driving in Winter

Driving conditions will be more of a challenge during the winter months due to low temperatures (ice /snow), rain and wet road surfaces, reduced visibility due to fog and more hours of darkness – particularly during ‘rush hour’. The following links below provide guidance on driving in winter:

If you are a manager and your staff group are expected to drive to premises (e.g. patient’s homes, other sites etc.) away from their base on a regular basis then it is your responsibility to ensure this is taken into consideration during the risk assessment process for lone working / domiciliary visits. Information, guidance and example risk assessments for our community based services and premises can be found here (available only to those logged on to NHSGGC).  

It is also important to keep up-to-date with travel information and the weather forecast. The use of the radio and social media such as twitter will help with this, below are links to useful websites as well:

 Further Information

Work Equipment – Provision and Use
Work Related Driving
Working Time Regulations
Workplace, Health, Safety & Welfare
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Occupational Hygiene and Health and Safety Education